Executive Editor: Peter Trafton

Authors: Martin Jaeger, Frankie Leung, Wilson Li

Proximal humerus Extraarticular 2-part, surgical neck, impaction

General considerations

These fractures are intrinsically stable due to the metaphyseal impaction and respond well to gentle early mobilization. The decision for operative management should depend on the degree of fracture deformity (angulation). Mild-moderate angulation is well tolerated. Significant deformity may require reduction and fixation. The main aim of treatment is to achieve fracture union with acceptable alignment, with little functional impairment.

The functional demands of the patient, the presence of comorbidities, and risk of delayed fracture displacement should be considered. Nonoperative treatment usually achieves good results, particularly for varus impacted fractures.

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v2.0 2011-05-02